Bryan Phelps, CRNA | |
1221 Highland Ave, Clarkston, WA 99403-2829 | |
(509) 758-5511 | |
Not Available |
Full Name | Bryan Phelps |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 1221 Highland Ave, Clarkston, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447598214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP60329891 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tri-state Memorial Hospital | Clarkston, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-state Memorial Hospital | 4082502422 | 29 |
Entity Name | Tri-state Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123 |
Mailing Address | Practice Location Address |
---|---|
Bryan Phelps, CRNA 1221 Highland Ave, Clarkston, WA 99403-2829 Ph: (509) 758-5511 | Bryan Phelps, CRNA 1221 Highland Ave, Clarkston, WA 99403-2829 Ph: (509) 758-5511 |
Sirjana Pun, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 253-867-7777 | |
Mark Roubidoux, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 509-758-5511 | |
Julie Bechtel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 509-785-5511 |